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<h4>Edit User</h4>
 <form action="" method="get" enctype="multipart/form-data" name="addLocation" target="_self" id="addLocation">
<table>
  <tr>
    <td class="right"><label for="jiid">JIID</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><input type="text" name="jiid" id="jiid" tabindex="1" disabled="disabled"/>
      (Auto  Sync.)</td>
  </tr>
  <tr>
    <td class="right"><label for="insanId">Insan ID</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><input type="text" name="insanId" id="insanId" tabindex="2" /></td>
  </tr>
  <tr>
    <td class="right"><label for="name">Name</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><input type="text" name="name" id="name" tabindex="3" /></td>
  </tr>
  <tr>
    <td class="right"><label for="address">Address</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><textarea rows="4" name="address" cols="23" tabindex="4" id="address"></textarea></td>
  </tr>
  <tr>
    <td class="right"><label for="block">Tehsil/Block</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><select name="block" size="1" tabindex="5" id="block">
      <option>-select-</option>
      <option>Tehsil/Block</option>
    </select></td>
  </tr>
  <tr>
    <td class="right"><label for="district">District</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><select name="district" size="1" tabindex="6" id="district">
      <option>-select-</option>
      <option>District</option>
    </select></td>
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  <tr>
    <td class="right"><label for="state">State</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><select name="state" size="1" tabindex="7" id="state">
      <option>-select-</option>
      <option>State</option>
    </select></td>
  </tr>
  <tr>
    <td class="right"><label for="country">Country</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><select name="country" size="1" tabindex="8" id="country">
      <option>-select-</option>
      <option>Country</option>
    </select></td>
  </tr>
  <tr>
    <td class="right"><label for="contactNumber">Contact Number</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><input type="text" name="contactNumber"  tabindex="9"  id="contactNumber" /></td>
  </tr>
  <tr>
    <td class="right"><label for="roleID">Role ID</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><input type="text" name="roleID"  tabindex="10" id="roleID" /></td>
  </tr>
  <tr>
    <td class="right"><label for="password">Password</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><input type="password" name="password"  tabindex="11"  id="password" /> </td>
  </tr>
  <tr>
    <td class="right"><label for="status">Status</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><select name="status" size="1" tabindex="12" id="status">
      <option>-select-</option>
      <option>Active</option>
      <option>Hold</option>
      <option>Inactive</option>
    </select></td>
  </tr>
  <tr>
    <td class="right"><label for="roleDescription">Role Description</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><select name="roleDescription" size="1" tabindex="13" id="roleDescription">
      <option>-select-</option>
      <option>Operator</option>
      <option>Authorizer</option>
      <option>Locatin Manager</option>
      <option>Super Admin</option>
    </select></td>
  </tr>
  <tr>
    <td class="right"><label for="startDate">Start Date</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><input type="text" name="startDate"  tabindex="14" id="startDate" /></td>
  </tr>
  <tr>
    <td class="right"><label for="endDate">End Date</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><input type="text" name="endDate"  tabindex="15" id="endDate" /></td>
  </tr>
  <tr>
    <td class="right"><label for="designation">Designation</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><input type="text" name="designation"  tabindex="16" id="designation" /></td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td><input type="submit" name="update" value="Update" tabindex="17" id="update" /></td>
  </tr>
</table>
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 </form>
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&copy; Copyright 2011. Dera Sacha Sauda, Sirsa-125055 (Haryana)
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Designed By: DSS IT WING</div>
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